静脉血栓塞栓症住院患者的护理途径
Isabelle Mahé1,2, Yara Skaff1, Hélène Helfer1
1Service de Médecine Interne, Université Paris Cité, Hôpital Louis Mourier, AP-HP, INNOVTE-FCRIN, Colombes, France.
European journal of clinical investigation
|January 16, 2025
概括
这项研究绘制了静脉血栓塞栓症 (VTE) 患者的医院行程. 尽管有新的治疗方法,但许多VTE患者需要住院护理,这表明需要优化医院途径.
科学领域:
- 医学研究 医学研究
- 临床途径分析
- 医院管理 医院管理
背景情况:
- 静脉血栓塞栓症 (VTE),包括肺栓塞 (PE) 和深静脉血栓症 (DVT),是一种严重的疾病,影响了各种医学领域.
- 最近的指导方针和直接口服抗凝剂的进展使许多DVT和非严重的PE患者能够更早地出院.
研究的目的:
- 绘制医院各部门VTE患者分布的地图.
- 划分VTE患者的护理途径,从急诊室 (ED) 的入院到医院出院.
主要方法:
- 一项多中心回顾性横截面研究分析了2018年至2019年期间来自39家医院的VTE患者数据.
- 数据包括患者人口统计,诊断,入院路线和停留时间,并进行了子组分析.
主要成果:
- 分析了涉及17718名VTE患者的23,199次住院;46.3%患有PE,18.0%患有下肢DVT.
- 在31.2%的病例中,ED是主要的入口点,随后转移到内科,心血管和ICU部门.
- 平均住院时间为9天,其中18.8%的VTE患者在ED入院后48小时内出院.
结论:
- 这项研究提供了首个全面的VTE患者分布和医院内护理途径的概述.
- 尽管有指导方针的变化,但大量的VTE患者需要住院治疗,这凸显了专用护理途径的必要性.
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